RICHARD L. EDDY, M.D., F.A.C.P.; JAMES F. MCMURRY JR., M.D.; EDWARD B. BEST, M.D.; BILLY W. HENDERSON, M.D.; V. TAYLOR SMITH, M.D.
To the editor: When adrenalectomy is indicated for palliation of certain malignancies and for some patients with adrenocortical hyperfunction because of their poor surgical risk, a less threatening nonsurgical approach would be desirable. We report the successful ablation of adrenal function by instillation of a sclerosing substance through an angiographic catheter. The patient had Cushing's syndrome, caused by ectopic production of adrenocorticotrophin (ACTH) in metastatic carcinoma of the prostate.
A 58-year-old man with stable diabetes mellitus of 10 years' duration and prostatic carcinoma (treated with orchiectomy and diethylstilbestrol) was admitted to the Endocrine Study Unit on 24 July 1972, with
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EDDY RL, MCMURRY JF, BEST EB, HENDERSON BW, SMITH VT. Adrenal Ablation by Venous Catheter. Ann Intern Med. 1973;79:273–274. doi: 10.7326/0003-4819-79-2-273
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Published: Ann Intern Med. 1973;79(2):273-274.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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